<!DOCTYPE html>
<html>

<head>
    <meta charset="utf-8">
    <title></title>
    <meta name="renderer" content="webkit">
    <meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1">
    <meta name="viewport"
        content="width=device-width, initial-scale=1.0, minimum-scale=1.0, maximum-scale=1.0, user-scalable=0">
    <link rel="stylesheet" href="../../layuiadmin/layui/css/layui.css" media="all">
    <link rel="stylesheet" href="../../layuiadmin/style/admin.css" media="all">
</head>

<body>
    <div class="layui-fluid">
        <div class="layui-row layui-col-space15">
            <div class="layui-col-md12">
                <div class="layui-card">
                    <div class="layui-card-header">事件事故处理</div>
                    <div class="layui-card-body">

                        <div class="layui-form" lay-filter="layuiadmin-form-admin" id="layuiadmin-form-admin"
                            style="padding: 20px 30px 0 0;">

                            <div class="layui-form-item">
                                <div class="layui-inline">
                                    <label class="layui-form-label">标题</label>
                                    <div class="layui-input-block">
                                        <input type="text" name="phone" autocomplete="off" class="layui-input">
                                    </div>
                                </div>
                            </div>


                            <div class="layui-form-item">
                                <div class="layui-inline">
                                    <label class="layui-form-label">发生时间</label>
                                    <div class="layui-input-inline">
                                        <input type="text" name="phone" autocomplete="off" class="layui-input">
                                    </div>
                                </div>
                                <div class="layui-inline">
                                    <label class="layui-form-label">发生地点</label>
                                    <div class="layui-input-inline">
                                        <input type="text" name="email" autocomplete="off" class="layui-input">
                                    </div>
                                </div>
                                <div class="layui-inline">
                                    <label class="layui-form-label">事故类别</label>
                                    <div class="layui-input-inline">
                                        <input type="text" name="email" autocomplete="off" class="layui-input">
                                    </div>
                                </div>
                            </div>



                            <div class="layui-form-item">
                                <div class="layui-inline">
                                    <label class="layui-form-label">初步估计事故等级</label>
                                    <div class="layui-input-inline">
                                        <input type="text" name="phone" autocomplete="off" class="layui-input">
                                    </div>
                                </div>
                                <div class="layui-inline">
                                    <label class="layui-form-label">死亡</label>
                                    <div class="layui-input-inline">
                                        <input type="text" name="email" autocomplete="off" class="layui-input">
                                    </div>
                                </div>
                            </div>

                            <div class="layui-form-item">
                                <div class="layui-inline">
                                    <label class="layui-form-label">估计经济损失</label>
                                    <div class="layui-input-inline">
                                        <input type="text" name="phone" autocomplete="off" placeholder="直接损失" class="layui-input">
                                    </div>
                                    <div class="layui-input-inline">
                                            <input type="text" name="phone" autocomplete="off"   placeholder="间接损失" class="layui-input">
                                        </div>
                                </div>
                                <div class="layui-inline">
                                    <label class="layui-form-label">人员伤亡情况初步估计</label>
                                    
                                    <div class="layui-input-inline">
                                            <input type="text" name="phone" autocomplete="off"   placeholder="死亡人数" class="layui-input">
                                        </div>
                                        <div class="layui-input-inline">
                                                <input type="text" name="phone" autocomplete="off"   placeholder="重伤人数" class="layui-input">
                                            </div>
                                            <div class="layui-input-inline">
                                                    <input type="text" name="phone" autocomplete="off"   placeholder="轻伤人数" class="layui-input">
                                                </div>
                                </div>
                            </div>

                            <div class="layui-form-item">
                                    <div class="layui-block">
                                        <label class="layui-form-label">事故调查组组长及成员</label>
                                        <div class="layui-input-block">
                                            <textarea name='x' class="layui-textarea"></textarea>
                                        </div>
                                    </div>
                                </div>
                                <div class="layui-form-item">
                                    <div class="layui-block">
                                        <label class="layui-form-label">事故发生经过简述</label>
                                        <div class="layui-input-block">
                                            <textarea name='x' class="layui-textarea"></textarea>
                                        </div>
                                    </div>
                                </div>

                                <div class="layui-form-item">
                                        <div class="layui-block">
                                            <label class="layui-form-label">事故发生直接原因</label>
                                            <div class="layui-input-block">
                                                <textarea name='x' class="layui-textarea"></textarea>
                                            </div>
                                        </div>
                                    </div>
                            <div class="layui-form-item">
                                <div class="layui-block">
                                    <label class="layui-form-label">事故性质及责任分析</label>
                                    <div class="layui-input-block">
                                        <textarea name='x' class="layui-textarea"></textarea>
                                    </div>
                                </div>
                            </div>
                            <div class="layui-form-item">
                                <div class="layui-block">
                                    <label class="layui-form-label">事故责任者处理建议</label>
                                    <div class="layui-input-block">
                                        <textarea name='x' class="layui-textarea"></textarea>
                                    </div>
                                </div>
                            </div>

                            <div class="layui-form-item">
                                    <div class="layui-block">
                                        <label class="layui-form-label">总结事故教训</label>
                                        <div class="layui-input-block">
                                            <textarea name='x' class="layui-textarea"></textarea>
                                        </div>
                                    </div>
                                </div>

                                <div class="layui-form-item">
                                        <div class="layui-block">
                                            <label class="layui-form-label">防范和整改措施</label>
                                            <div class="layui-input-block">
                                                <textarea name='x' class="layui-textarea"></textarea>
                                            </div>
                                        </div>
                                    </div>
            

                            <div class="layui-form-item">
                                <div class="layui-block">
                                    <label class="layui-form-label">附件</label>
                                    <div class="layui-input-inline">
                                        <input type="text" name="phone" autocomplete="off" class="layui-input">

                                    </div>
                                    <button type="reset" class="layui-btn layui-btn-primary">点击上传</button>
                                </div>
                            </div>


                            <div class="layui-form-item">
                                <div class="layui-input-block">
                                    <button class="layui-btn" lay-submit=""
                                        lay-filter="component-form-element">保存</button>
                                    <button type="reset" class="layui-btn layui-btn-primary">重置</button>
                                </div>
                            </div>
                        </div>
                    </div>
                </div>
            </div>
        </div>

        <script src="../../layuiadmin/layui/layui.js"></script>
        <script>
            layui.config({
                base: '../../layuiadmin/' //静态资源所在路径
            }).extend({
                index: 'lib/index' //主入口模块
            }).use(['index', 'table', 'form'], function () {
                var admin = layui.admin, form = layui.form, table = layui.table;
            });
        </script>
</body>

</html>